Provider Demographics
NPI:1457677528
Name:DEMPSEY, ALICIA KAY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:KAY
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FAYETTE TOWN CTR
Mailing Address - Street 2:WAL-MART PHARMACY
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25840-9539
Mailing Address - Country:US
Mailing Address - Phone:304-574-1283
Mailing Address - Fax:
Practice Address - Street 1:100 FAYETTE TOWN CTR
Practice Address - Street 2:WAL-MART PHARMACY
Practice Address - City:FAYETTEVILLE
Practice Address - State:WV
Practice Address - Zip Code:25840-9539
Practice Address - Country:US
Practice Address - Phone:304-574-1283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist